Enhancing physical activity coaching through personalized motivational strategies and self-adaptive goal-setting: development of self-adaptive processes in a monitoring and coaching smartphone application

Dissertação para obtenção do Grau de Mestre em Engenharia BiomédicaThe rising age of the European population brings increased costs in healthcare mainly related to the management of chronic diseases. Regular physical activity has been shown to help in the prevention and control of disease risk. Mobile phones have provided promising and emergent ways of promoting healthy lifestyles, allowing real-time monitoring and coaching to be delivered at any time and any place. The presented work adds new features to the Activity Coach, an ambulatory feedback system that aims to encourage physical activity. The Integral of the Modulus of Body Acceleration (IMA) is the unit used as an estimate for energy expenditure. Although previous research demonstrated the potential of this system, results also showed that adherence drops after a few weeks. The primary goal of this research was to design, implement, and test adaptive goal-setting and personalized feedback strategies in order to encourage physical activity. Regarding the self-adaptive goal-setting feature, the goal for each day is defined automatically based on the physical activity performed at that day of the week since the beginning of the intervention. Hence, the intention is to help the user to increase or maintain his level of physical activity taking his daily routine as a reference. The second element added to the system regards motivational feedback messages, a key factor in interventions aiming at behavior change. Based on the levels of self-efficacy, stage-of-change, and daily activity, the user is assigned to one of the six pre-defined feedback strategies in the system. The content of the motivational cues depends on the selected feedback strategy. The evaluation of the system focused on providing better understandable and more accurate feedback to the user. To do so, we evaluated the challenge and attainability of the goals provided to the user with (1) data acquired during previous studies, and (2) newly gathered data from a single-subject study. As part of the evaluation, we translated IMA counts into ‘steps’, a commonly understandable measure for physical activity, comparing the data acquired from the Activity Coach sensor with a Fitbit, a commercially available pedometer. Although further tests with more subjects and different activities should be performed, we suggest that the default values set to the system are in agreement with the Goal-Setting Theory providing challenging and attainable goals. The results from this research will be used in future experiments using the Activity Coach and can be adapted to other ambulatory feedback systems regarding promotion of physical activity

How do Developers Test Android Applications?

Enabling fully automated testing of mobile applications has recently become an important topic of study for both researchers and practitioners. A plethora of tools and approaches have been proposed to aid mobile developers both by augmenting manual testing practices and by automating various parts of the testing process. However, current approaches for automated testing fall short in convincing developers about their benefits, leading to a majority of mobile testing being performed manually. With the goal of helping researchers and practitioners - who design approaches supporting mobile testing - to understand developer's needs, we analyzed survey responses from 102 open source contributors to Android projects about their practices when performing testing. The survey focused on questions regarding practices and preferences of developers/testers in-the-wild for (i) designing and generating test cases, (ii) automated testing practices, and (iii) perceptions of quality metrics such as code coverage for determining test quality. Analyzing the information gleaned from this survey, we compile a body of knowledge to help guide researchers and professionals toward tailoring new automated testing approaches to the need of a diverse set of open source developers.Comment: 11 pages, accepted to the Proceedings of the 33rd IEEE International Conference on Software Maintenance and Evolution (ICSME'17

Individual Optimization of the Insertion of a Preformed Cochlear Implant Electrode Array

Purpose. The aim of this study was to show that individual adjustment of the curling behaviour of a preformed cochlear implant (CI) electrode array to the patient-specific shape of the cochlea can improve the insertion process in terms of reduced risk of insertion trauma. Methods. Geometry and curling behaviour of preformed, commercially available electrode arrays were modelled. Additionally, the anatomy of each small, medium-sized, and large human cochlea was modelled to consider anatomical variations. Finally, using a custom-made simulation tool, three different insertion strategies (conventional Advanced Off-Stylet (AOS) insertion technique, an automated implementation of the AOS technique, and a manually optimized insertion process) were simulated and compared with respect to the risk of insertion-related trauma. The risk of trauma was evaluated using a newly developed “trauma risk” rating scale. Results. Using this simulation-based approach, it was shown that an individually optimized insertion procedure is advantageous compared with the AOS insertion technique. Conclusion. This finding leads to the conclusion that, in general, consideration of the specific curling behaviour of a CI electrode array is beneficial in terms of less traumatic insertion. Therefore, these results highlight an entirely novel aspect of clinical application of preformed perimodiolar electrode arrays in general

Towards a simulation-based medical education platform for PVSio-web

Interface design flaws are often at the root cause of use errors in medical devices. Medical incidents are seldom reported, thus hindering the understanding of the incident contributing factors. Moreover, when dealing with a use error, both novices and expert users often blame themselves for insufficient knowledge rather than acknowledge deficiencies in the device. Simulation-Based Medical Education (SBME) platforms can provide appropriate training to professionals, especially if the right incentives to keep training are in place. In this paper, we present a new SBME, particularly targeted at training interaction with medical devices such as ventilators and infusion pumps. Our SBME functions as a game mode of the PVSio-web, a graphical environment for design, evaluation, and simulation of interactive (human-computer) systems. An analytical evaluation of our current implementation is provided, by comparing the features on our SBME with a set of requirements for game-based medical simulators retrieved from the literature. By being developed in a free, open source platform, our SBME is highly accessible and can be easily adapted to specific use cases, such a specific hospital with a defined set of medical devices.Jose Campos work was supported by project "NORTE-01-0145-FEDER-000016" financed by the North Portugal Regional Operational Programme (NORTE 2020), under the PORTUGAL 2020 Partnership Agreement, and through the European Regional Development Fund (ERDF). Carlos Silva work was supported by grant no. POCI-01-0145-FEDER-031943, co-financed by COMPETE2020 under the PT2020 programme, and supported by FEDER. The authors wish to thank Paolo Masci, developer of PVSio-web, for extensive support and input

Stateful SOA-conformant Services as Building Blocks for Interactive Software Systems

Services implemented through information and communication technology need to provide value for customers, with whom they usually have non-trivial interaction. However, user interface and (Web) service specifications are often disconnected. The most widely used Web services are stateless, hence only trivial user interaction with one-step input and output can be embedded in such a service. Remembering the state is a prerequisite for implementing non-trivial user interaction with a service. We present new stateful SOA-conformant services as building blocks for interactive software systems. This new kind of service has a unified high-level protocol both for (non-trivial) user interaction with a machine and for machine-machine communication. Services with the same protocol can substitute each other (also dynamically at runtime), whether they are machine or user services. Using such services as building blocks, interactive software systems can be composed, also recursively. As a matter of fact, from such service specifications (graphical) user interfaces for non-trivial interaction can be automatically generated

CHORUS Deliverable 2.1: State of the Art on Multimedia Search Engines

Based on the information provided by European projects and national initiatives related to multimedia search as well as domains experts that participated in the CHORUS Think-thanks and workshops, this document reports on the state of the art related to multimedia content search from, a technical, and socio-economic perspective. The technical perspective includes an up to date view on content based indexing and retrieval technologies, multimedia search in the context of mobile devices and peer-to-peer networks, and an overview of current evaluation and benchmark inititiatives to measure the performance of multimedia search engines. From a socio-economic perspective we inventorize the impact and legal consequences of these technical advances and point out future directions of research

Design rules and guidelines for generic condition-based maintenance software's Graphic User Interface

The task of selecting and developing a method of Human Computer Interaction (HCI) for a Condition Based Maintenance (CBM) system, is investigated in this thesis. Efficiently and accurately communicating machinery health information extracted from Condition Monitoring (CM) equipment, to aid and assist plant and machinery maintenance decisions, is the crux of the problem being researched. Challenges facing this research include: the multitude of different CM techniques, developed for measuring different component and machinery condition parameters; the multitude of different methods of HCI; and the multitude of different ways of communicating machinery health conditions to CBM practitioners. Each challenge will be considered whilst pursuing the objective of identifying a generic set of design and development principles, applicable to the design and development of a CBM system's Human Machine Interface (HMI). [Continues.

How Do Patients Expect Apps to Provide Drug Information?

Patients use various sources to obtain information on pharmaceutical drugs. Mobile health care applications (apps) providing drug information to users are increasingly made available and of rising importance for the health care domain. However, apps usually offer functionality that only medical professionals or vendors consider useful for patients, although their considerations are not likely to meet patient expectations. In our exploratory study, we identify 33 features patients expect in apps for drug information provision with interviews and empirically assess their perceived importance in an online survey. Results indicate that patients desire personalization features for provided information but not for the app interface. This work contributes to research and practice by identifying and empirically ranking drug information provision features patients find important. We furthermore establish a foundation for future research on effective mobile drug information provision and provide insights for practice on development of patient-centered mobile health apps

Flexible context aware interface for ambient assisted living

A Multi Agent System that provides a (cared for) person, the subject, with assistance and support through an Ambient Assisted Living Flexible Interface (AALFI) during the day while complementing the night time assistance offered by NOCTURNAL with feedback assistance, is presented. It has been tailored to the subject’s requirements profile and takes into account factors associated with the time of day; hence it attempts to overcome shortcomings of current Ambient Assisted Living Systems. The subject is provided with feedback that highlights important criteria such as quality of sleep during the night and possible breeches of safety during the day. This may help the subject carry out corrective measures and/or seek further assistance. AALFI provides tailored interaction that is either visual or auditory so that the subject is able to understand the interactions and this process is driven by a Multi-Agent System. User feedback gathered from a relevant user group through a workshop validated the ideas underpinning the research, the Multi-agent system and the adaptable interface